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1902423122
BRYCEN JAMES BETTENCOURT MOORE
SACRAMENTO, CA
NPI
1902423122
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA 298530)
Enumeration Date
2020-07-03
Last Update Date
2020-07-03
Business Address
BRYCEN JAMES BETTENCOURT MOORE
650 UNIVERSITY AVE
SACRAMENTO, CA 95825-6726
Phone number: 916-333-5800
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Mailing Address
BRYCEN JAMES BETTENCOURT MOORE
8126 ANASTASIA WAY
EL DORADO HILLS, CA 95762-3978
Phone number:
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